Infertility

THIN LINING - hoping to get feedback (losses mentioned)

Hi ladies, 
My ever-growing lining issues have brought me back to the boards - - hoping someone can give me some feedback.. 

I had 2 miscarriages over the last year..(2nd one,  DR recommended a D&C because it wasn't passing naturally)  Wish I never did the D&C though...and my RE says my uterus has had trauma.. my most recent HSG came back normal and I also had a Hysterscopy - - they just found that my lining was super thin but no scar tissue at all.. My RE suspects its the worst kind of Ashermans - - where when the DR who did my D&C he was too aggressive and removed too much of my lining and now he's left me with nothing much left and its so damaged that it may not even grow back.

I've tried Estrace orally and Estraderm patches but the most my lining got to is 6.7mm...I've been trying natural remedies too - POM juice,, RRL tea, yoga poses, hot compress, castor oil etc.. but nothing seems to be making the difference with my lining.  I am very devastated and hopeless.  

MY RE does want to try a few other options although anyone with lining issues knows there are not very many options for us and there is no real guaranteed protocol.  So a week ago I saw RE for my mid cycle scan (I have been off of Estrogen and meds for a few weeks now) He said my lining was at 6mm (but no triple stripe unfortunately).. He saw that I looked like I would be ovulating at any moment.. (I also had a positive OPK the day before) and he did B/W.. he suggested that my DH and I BD to try to conceive naturally this cycle.. My question is - WHY would he even bother telling us to try naturally with only a 6mm lining that doesn't even have a triple stripe?  We did BD a few time the days before and days after this but I would rather not have false hope and I just dont get why the RE would tell us to try when the chances of conceiving with such a thin lining are so low let alone having the pregnancy "stick"...So now I am in the 2WW... and of course consumed by all of this and so scared to be disappointed again.. 

I guess I am just confused and venting.. any feedback is very much appreciated.  I hope you ladies are having better luck than I am.. 

Re: THIN LINING - hoping to get feedback (losses mentioned)

  • So sorry you're going through this. Do you have any idea what your lining was like before the m/c and d and c? Do they think it's been caused by the d and c, or might the thin lining have been there before and be associated with the m/c?
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  • Thank you very much :(
    Thats a good question - - RE suspects its due to the D&C but quite honestly I dont know what my lining was prior to my mc's..but just this morning I have requested all of my medical records from my "regular" GYN.. perhaps there is some mention about my lining from previous..
  • *bfp mentionned*
    It'd be really too bad if it was from the D&C...Here's a bit about my thin lining issues, but I suspect that they would have figured that out doing your hysteroscopy. I had a thin lining (usually not much more than 6 mm) on all my cycles, despite the letrozole and progesterone. It turns out I had a slight t shape uterus, where a band of muscle/tissue at the base of my uterus was essentially acting like an elastic band, preventing proper blood flow. This was suspected because of a 3D ultrasound of my uterus, and confirmed during the hysteroscopy. The RE therefore corrected that, and it definitely worked...I had quite the heavy period 2-3 weeks after the surgery (I had very light periods before), and my lining went above 8mm for the first time ever on the following cycle. That cycle ended up being succesful for us. I also had a laparoscopy to remove stage 4 endo at the same time, so there were a lot of factors at play for me that all got fixed that same cycle.
    I really hope they can figure out what's wrong and whether they can fix it. If ever you want a second opinion, I'd highly recommend finding an RE who specializes in minimally invasive gynecological surgery. I have a strong feeling that if that hadn't been the case for my RE (by pure fluke, he was just recommended by my GP), my issues would have never been figured out because of how subtle everything was.
    Best of luck to you!
  • riveridgionalriveridgional member
    edited December 2015
    He may have told you to BD since your lining still has time to thicken up by implantation time. I didn't have chronic lining issues, but on my only monitored cycle of Clomif, Clomid thinned my lining. It was only 5.3 on CD13. I took estrace vaginally (2mg 2xs a day) and it worked to thicken my lining up pretty quickly.

    My RE stated that taking it vaginally has been shown to have a greater effect on assisting the lining to thicken. I believe I have read some ladies on here say that they have taken it up to 3 times a day, but I'm not positive I'm remembering this part correctly (could have been progesterone 3xs).

    I would ask your doctor about attempting to take the estrace vaginally to see if it would help at all. The pharmacist will always put on the bottle to take it orally, but I was told to take it vaginally. I believe the insert that comes with estrace even states somewhere in it that vaginal application would work better for some conditions. Good luck!!
    Married to DH 10/6/12
    TTC since 5/14
    Unexplained with (controlled) hypothyroidism and suspected ovulatory dysfunction (but, I do ovulate on my own)
    Clomid 50 mg 3/15 (unmonitored) - BFN
    Clomid 50 mg + metformin 4/15 (unmonitored) - BFN 
    First RE appt. 5/15; Natural cycle 5/15 monitored with 2 mature follicles and Pregnyl Trigger (full dose) + prometrium - BFN
    6/15 HSG - clear tubes & normal uterus; great PCT test results
    TI - 100 mg Clomid + prometrium (AM & PM) + vaginal estrace (AM & PM) 6-7/15 (monitored) --> no additional response and thinned lining - BFN
    TI - Injectables (follistim + Gonal-F, Ganirelix, & 1/2 dose Pregnyl) + prometrium (AM & PM) 9/15 --> 3-7 mature follicles (3 definites and 4+ that could have matured due to trigger) @ O -->BFN + 5 large cysts
    BC for 2 weeks due to cysts
    TI - Injectables (Gonal-F, Ganirelix & full dose Pregnyl) + prometrium (AM & PM) 10/15 --> 1 mature follicle --> BFN 
    TI - Last attempt at injectables (Gonal-F, Ganirelix & 1/2 dose Pregnyl) + crinone (AM only) + vaginal estrace (AM & PM) 11/15 --> 3-4 mature follicles --> BFP!! 11/27/15 @ 13dpo (shockingly, actually waited until then to test)

    Beta #1 @ 16dpo (11/30/15) = 1,075
    Beta #2 @ 19dpo (12/3/15) = 3,150
    One baby: Saw heartbeat @ 5w5d (114 bpm; baby measuring 2.3mm)

    "Great Things are Happening"
  • I will confirm pp comments on taking the estrace vaginally. My RE has me prepping with it 3x a day and my lining is growing nicely. Good luck!
    *TW* Pregnancy/Loss Mentioned
    Me: 37 /PCOS DH: 37/no issues TTC: 7/13
    Started with RE 12/14; 3 failed rounds of clomid, started letrozole
    IUI #1 & #2- BFN
    IVF #1 - 9/15 Cancelled Day 9
    IVF #2- started stims 10/24  ER- 11/15 6 eggs- 5 fertilized/ 1 frozen
    FET #1 -1 embryo-12/9/15- BFN
    IVF #3- started stims 1/22/16  ER- 2/8 33 eggs(!)- 21 mature, all 21 fertilized - 6 snowflakes!
    FET #2- 2 embryos- April 4th-BFN
    ERA-June 8- results show need 12 addt'l hours of PIO
    FET #3-  2 embryos transferred August 14,2016  BFP! on 8/24! Beta #1-22  Beta #2-83 Beta #3-368 
    Confirmed singleton-Heartbeat on 9/19-160bpm! EDD: May 1, 2017, It's a girl!!
    Pre-term labor/loss-stillborn at 18w. 
    FET #4- 1 embryo-Aug 12th-BFP on 8/23 Beta #1-112 Beta #2-298 Beta #3-1010
    Confirmed Identicals!- Heartbeats seen on 9/8  Miscarriage on 9/18
    FET #5- 1 embryo- 1/12/18-BFN
    Lots of testing and finally determined I have elevated natural killer cells. Will begin prednisone and IVL treatment before next round.
    IVF#4- April 2018 8 eggs, 7 fertilized/3 frozen
    FET #6- 1 embryo- 6/11/18- BFP on 6/21 Beta #1-446, Beta #2-1841 
    Confirmed singleton- 6/29/18 HB-157 EDD: February 22, 2019. It's a Boy!



    BabyFruit Ticker 
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